The URL can be used to link to this page

Home My WebLink About1211 WIND STAR WAY; ; CB140293; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-05-2014 Permit No: CB1 40293 Building Inspection Requ est Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1211 WINO STAR WY CBAD PME 2122121100 Status: Lot #: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: VANDENBREE RES-NEW A/C UNIT IN REAR YARD-HOUSE WAS PRE-PLUMBED FOR A/C-NO NEW ELECTRIC OR DUCTWORK Applicant: SHERLOCK HEATING & AIR CONDITIONING INC STE 100 1355 GRAND AV SAN MARCOS CA 92078 760-295-5014 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: VANOENBREEJAY&LINDA 157 ASHLEY PL PARK RIDGE NJ 07656 ISSUED 02/05/2014 RMA 02/05/2014 02/05/2014 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these lees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f x i n f whi h v vi I T imil r hi r whi h h f limi i n h I h rwi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE ~ «~J» ~ CITY OF Plan Check No. Est. Value CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SWPPP JOB ADDRESS SUITEI/SPACEI/UNITt 2.. \ \ CT/PROJECT# LOT# E# # OF UNITS # BEDROOMS # BATHROOMS C0NSTR. TYPE 0CC. ROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -.r:;:.,_s~c.\\ No......, L..\+oY"'\ A)c_ 'I"" ~ec..rYc....v-d . ~t>USc:-I.s. --P-rc..-'Pl'-'rn\x...c! • EXISTING USE PROPOSED USE GARAGE (SF) ADDRESS 2 S 251 PHONE ;>~ .533 ~&t,2, EMAIL FAX Pff,01'.,ERTY OWNEJl}IAME _\ I _ L , "'do.. V <AV\oe \'\ ~-c:..c:.. ADDRESS \ 2 \ I W , ""'d s<\ o....-U a. STATE CA q20 \\ PHONE FAX 7bD-.533-~~'-~ EMAIL ARCH/DESIGNER NAME & ADDRESS ZIP 920\1 ZIP STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES[]# AIR CONDITIONING NcQ YES □No □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL i; AC.. r-o.."'d. A"c. ~ 100 CITY STATE ZIP SQ_""' Mc...rc.os C.A q 2..078 PHONE FAX 7eoo-2.qs -so1 EMAIL STATE UC.# CLASS g <:>'·Ht38 CLO FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair an~ structure, prior to its i suance, also requires th applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 the Business and Professions Code) or !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a perm~ subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) . • Workers' Compensation Declaration: I hereby affim, under penalty of perjury one of the following declaranons: Qi have and will maintain a certificate of consent to self-insure for WDlkers' compensation as provided by Section 3700 of the Labor Code, for the perfom1ance of the work for which this pem,tt is issued. Jtk-have and will maintain wo~• compe~sation, as reQuired ~ Section 3700 of the Labor Code, for the perfOl11lance of the work for which this permtt is issued. My workers' compensationfins1rance calrier and policy number are: Insurance Co. ~C::.C..'-JT \ 0-.. t I A.\ Poricy No. $"'-)(:. { D -Z. 7 'e. C> 7 Expiration Date-~-----' .,_ __ 14~---- ~section need not be completed ff the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfom1ance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up lo one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. ,Ji$ CONTRACTOR SIGNATURE ~ ~ I hereby affim, that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseff or through his own employees, provided thal such Improvements are not intended or offered for sale. ff, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). I, as owner of the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License law). I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (indude name address / phone / contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name /address / phone / contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated ~nclude name I address / phone I type of work): ,Ji$ PROPERTY OWNER SIGNATURE □AGENT DATE -· ,_ :■-... ••• l, ,,.. ll,■•-1ra:a..••••=-•• , ___ , .. -· , .. 1c.a=-r•,•·•••: •• l,._ Is the applicant Of fu1ure b\Jilding occupant required to submit a business plan, acutely hazaldous materials registration form or risk management and p,evention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acri Yes No Is the applicant Of future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes NQ Is the facility to be constructed wilhln 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. _ ... , ., .. , .... , ,_ •• ,., ii I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ---~~--1•~--'••- I certify that I have read the appllcatiion and state that the above infoonation is correct and that the lnfonnation on the plans is accurate. I agree ID comply with all City ordinances and State laws relating ID building construction. I hereby aulhorize represenlalive of the City of Garlsbad lo enter UJXlll the above menooned property b' inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY CY' CARLSBAD AGA.INST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE CY' THE GRANTING CY' THIS PERMIT. OSHA An OSHA perrnij is requied i:lr excavations over 5'0' deep and demolilbn or construcfuo of structures over 3 sbies n height. EXPIRATION: Every perrntt issued t7t the B.Jikling Offrial under the JlflMSOOS of this Code shall expire t7t Imitation and beCXlme nul and yoij ff the buiklng or v.ork au1horized t7t such lX:lllllit is not oornmenred v,;11111 1a:l days from the dai! of sldl perrntt or~ the butlng or v.ork au1horized t7f such permtt is suspended or abandoned at any tine after the v.ork is oornmenred i:lr a peood of 1a:l days (Secoon 100.4.4 Unibm B.Jikilg Code). ~ APPLICANT'S SIGNATURE s~ ~ DATE z/s/14 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY /Commcrc,al Proiccts 0 n I y I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. UC. No. DELNERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB# CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ,g APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB140293 Type: PME Date Inspection Item 04/14/2014 43 AirCond/Furnace Set 04/1 4/2014 43 AirCond/Furnace Set 04/14/2014 49 Final Mechanical 04/14/2014 49 Final Mechanical Tuesday, April 15, 2014 Inspector Act RI PD AP RI PD AP VANDENBREE RES-NEW A/C UNIT IN REAR YARD-HOUSE WAS PRE-PLUMB Comments VANDENBREE RES Page 1 of 1